Scoliosis Braces Treatment

Brace treatment plays an important role in the treatment of scoliosis. The bracing therapy is suitable for idiopathic scoliosis in adolescence and adolescence, and is ineffective in the treatment of scoliosis at the stage of bone development. Commonly used treatments for scoliosis have two broad categories: CTLSO and TLSO. Winter believes that if the scoliosis is less than 50°, the bendability is greater than 50%, and the general brace has a good therapeutic effect, such as a scoliosis between 50° and 75°, and a bendability between 25% and 50%. Treatment may be beneficial, and if the contralateral convexity is greater than 75° and the bendability is less than 25%, the brace treatment is almost ineffective. Treating diseases: scoliosis Indication Mild scoliosis from 120° to 40° and idiopathic scoliosis in infants or early childhood, occasionally 40° to 60° can also be treated with brace. 2 For children with immature bones, it is advisable to use brace treatment. 3 The treatment of the long segment of the curved brace is good, such as the treatment of 8 segments of 40° scoliosis better than the 5 segments of 40° scoliosis. The better elastic waist or thoracolumbar scoliosis below 440° is best treated with Boston brace. Contraindications It is not advisable to treat braces when the juvenile scoliosis exceeds 40°. For the case of no progression, there is no need to apply a brace, and it is not suitable for cases where the deformity has been automatically improved. For short and stiff cases, brace treatment is almost ineffective. Preoperative preparation Before the treatment, the degree of flexibility can be known in detail through the examination of the upright position, the supine position, the traction position, or the lateral flexion. Surgical procedure 1 treatment method: After the brace treatment, the full-length positive and lateral X-ray films of the standing spine should be taken. If the brace correction is taken, the correction rate of the scoliosis should be more than 50%. If it exceeds 50%, the treatment effect of the brace is satisfactory. In the treatment of brace, it usually takes 2 to 3 weeks to adapt to the brace, and patients should be encouraged to increase the time for wearing the brace as soon as possible. The brace should be reviewed once every 4 to 6 weeks to prevent the brace from being invalid due to the increase in the patient's length. During the review, the full-length positive and lateral X-ray films of the spine of the standing position should be removed, and the progress of the scoliosis should be evaluated according to the X-ray film performance. note: A. Two structural bends to 50° or a single bend over 45° should not be treated with a brace. B. The scoliosis combined with the chest lordosis should not be treated with a brace. Because the brace can aggravate the lordosis, the anteroposterior diameter of the thoracic cavity is further reduced. 2 support treatment options: During the brace treatment, the patient is required to wear 23 hours a day, and only the patient is allowed to take off during the bath and short exercise time, but few patients can persist. Since the treatment effect of wearing the brace for some time is acceptable, some doctors recommend that the time for wearing the brace can be reduced to 16 hours per day. The most commonly used brace is the Boston brace, which wears at least 16 hours a day, which prevents the progression of the scoliosis but does not permanently correct the scoliosis. Some spine surgeons use nighttime lateral brace to treat lumbar and thoracolumbar, but long-term follow-up is needed. If the brace is effective, the girl should wear it to 2 years after menarche, Risser levy IV; the boy wears to Risser levy V, then can gradually stop the brace treatment and continue to follow for several years. complication Spinal injury.

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